Application Form. By electronically signing or submitting the Application Form you:
Application Form. The applicant can secure application forms from the principal's office or from the Personnel office. The application shall be filed with the appropriate administrator.
Application Form. To apply for a pole attachment or conduit occupancy license under this Agreement, Applicant shall submit to SWBT two signed copies of the appropriate application forms. SWBT represents that the forms specified in subsections (a)-(b) are forms in use prior to the effective date of this Agreement and that SWBT is in the process of revising such forms to conform to the provisions of this Agreement and to streamline the application process. The parties therefore agree that the forms specified in subsections (a) and (b) will be interim forms only. SWBT reserves the right to change the format and content of these forms upon 60 days written notice to Applicant.
Application Form. The EDA Program Application Form is available from the County Manager's Office at 000 X. Xxxxxx Xxxxxx, Xxxx 000, Xxxxxxxx, XX 00000.
Application Form. By submitting the completed Application Form to us, you:
Application Form. You understand that the Account Application is part of this agreement and that by signing on the last page of the application, you are agreeing to all of the terms and conditions in this agreement. You agree to promptly notify LPL in the event that your country of residence or citizenship status changes, and you acknowledge and agree that such notification may result in termination of your account by LPL if LPL does not service accounts in the new jurisdiction. In addition, if you are a sponsor or other responsible fiduciary of a retirement plan subject to the Employee Retirement Income Security Act of 1974 (“ERISA”), you are acknowledging receipt of the ERISA 408(b)(2) disclosures contained at the end of this Agreement. You must complete in full the application and you acknowledge the accuracy of its contents.
Application Form. A signed Application for New Electric Service form is required to become a member and/or receive service. This application allows the privileges of voting and participation in the Cooperative's activities.
Application Form. You, by signing or submitting electronically the application form when you are applying to become our customer: • Acknowledge to us that you have received or downloaded, and read and understood this Agreement and the current PDS; • Agree that we will provide our products and services to you on the terms and conditions of this Agreement.
Application Form. (Available from the Aviation Authorities) PART-FCL LICENCE APPLICATION FORM It is required that this form be filled and signed by the candidate The first part of this form needs to be filled in with the details of the FAA airman certificate and its endorsements. These items will be verified in consultation with FAA. The second part concerns the application for the EU licence itself. PART 1: FAA Airman status ITEM ICAO ANNEX 1 DESCRIPTION In accordance with the Chicago Convention on International Civil Aviation, Article 29,c); 32,a); 40; and Annex 1 to the Convention, para 1.2.1. 1 (i) State of licence issue USA 2 (ii) Category/Class of FAA certificate AEROPLANES: □ PPL □ CPL □ ATPL 3 Licence issue date Dd/mm/yyyy 4 (iv) Full name (Last and first names) LAST NAME, First name 5 (iv a) Date of birth (dd/mm/yyyy), or National ID number Dd/mm/yyyy …………………………………………. [PII not provided by FAA in airman verification process. The applicant must provide.] 6 (xiv) Other detail (for example Place of birth) Optional [PII not provided by FAA in airman verification process. The applicant must provide.] 7 (v) Address: - Permanent address: - Postal address: [PII not provided by FAA in airman verification process. The applicant must provide.] 8 Contact details: - Email: - Phone number: Personal contact details [PII not provided by FAA in airman verification process. The applicant must provide.] 9 (vi) Nationality Dutch [PII not provided by FAA in airman verification process. The applicant must provide.] 10 (viii) Issuing authority (conditions under which the licence was issued, where necessary) FAA 11 (xii) Valid and non-expired ratings/privileges and certificates held (Only Class or Instrument ratings) Ratings and certificates Issue date (dd/mm/YYYY) SEL xx/xx/xxxx 12.. Expired ratings: N/A 13 (xiii) Remarks, i.e., special endorsements relating to limitations, restrictions and endorsements for privileges (e.g.: language proficiency level and validity (English, others)) Special endorsements: Last Flight Review in English (for language request) Date (dd/mm/yyyy): 14. Details on completion of theoretical-knowledge or flight instruction, theoretical-knowledge examination or skill test in other Member States, if applicable : N/A 15 Past or pending enforcement action* Yes 🞏 No 🞏 (If yes, please give details on a separate page.) 16 Is the licence in point 2 a validation issued by the FAA on the basis of a licence issued by another Contracting State to the Chicago Convention.** Y...
Application Form. 2.1 It is recorded that the submission of the Application Form amounts to an offer by the Client to enter into this Agreement with Velocity Trade. Either Party can terminate this Agreement at any time as stipulated in clauses 24 and 25 of this Agreement.